<form action="/contact/" method="post">
<p><label for="id_subject">Subject:</label>
    <input id="id_subject" type="text" name="subject" maxlength="100" /></p>
<p><label for="id_message">Message:</label>
    <input type="text" name="message" id="id_message" /></p>
<p><label for="id_sender">Sender:</label>
    <input type="text" name="sender" id="id_sender" /></p>
<p><label for="id_cc_myself">Cc myself:</label>
    <input type="checkbox" name="cc_myself" id="id_cc_myself" /></p>
<script language="javascript" type="text/javascript">
function showAlert() {
	alert('Your Request has been submitted Successfully');
}
</script>
	
<input type="button" value="Click Here" onClick="showAlert();">
</form>
